title: Unilateral atlantal mass hypertrophy in acromegaly. Case report.
abstract: The authors report an extremely rare case of a patient with acromegaly who had unilateral enlargement of an atlas facet resulting in cord compression and progressive quadriparesis. Although unilateral atlas facet enlargement has been identified in the literature in cases of spondylosis and as a component of congenital malformation, its association with acromegaly has not previously been reported. Resection of the offending facetal bone and atlantoaxial fixation resulted in rapid neurological recovery.
authors.affiliation: Department of Neurosurgery, King Edward Memorial Hospital and Seth G. S. Medical College, Mumbai, India. atulgoel62@hotmail.com
authors.forename: Atul
authors.initials: A
authors.lastname: Goel
authors.forename: Abhidha H
authors.initials: AH
authors.lastname: Shah
authors.forename: Ram
authors.initials: R
authors.lastname: Menon
mesh_terms: D000172:Acromegaly / Q000473:pathology*; D000328:Adult; D001270:Cervical Atlas / Q000473:pathology*; D005260:Female; D006801:Humans; D006984:Hypertrophy; D008279:Magnetic Resonance Imaging; D011843:Radiculopathy / Q000209:etiology